Mortalidade por tuberculose no município de São Paulo nos anos censitários de 1980, 1991, 2000 e 2010 / Tuberculosis mortality in the County of São Paulo in census year 1980, 1991, 2000 e 2010.

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

17/08/2011

RESUMO

INTRODUCTION: Tuberculosis (TB) is a serious disease, is curable in virtually 100 per cent of new cases, provided that the principles of chemotherapy are followed. However, still determines high rates of morbidity and mortality in São Paulo city (SPC). METHODS: Descriptive study of tuberculosis as underlying cause of death based on secondary data from the São Paulo City Information Mortality System (PRO-AIM), and the Foundation System State Information from São Paulo Brazil (SEADE). RESULTS: An fluctuating reduction of tuberculosis death numbers and mortality rates during the study period, from 5,9 in 1980 to 2,8 per 100,000 inhabitants in 2010, was observed. An accelerated reduction in mortality trend was seen from 1980 until 1985, when there was a reversal of the trend that became increasingly growing and so staying until 1996, when it declines again. Three fold male deaths predominated during the period. The 60 years old and above age group was the most affected by TB deaths in the MSP. Regarding the clinical form, the deaths by pulmonary TB (83.9 per cent ) followed by miliary TB (10.4 per cent ) predominated. A significant influence of coverage of BCG vaccine in São Paulo city in reducing deaths due to TB meningitis in children under 4 years old was observed. The best evolution in terms of TB mortality was seen in northern SPC. The eastern presented a proportional increase in tuberculosis deaths in SPC in the four years studied, despite the reduction of mortality rates found in all regions of the city. CONCLUSIONS: The elderly group should be favored by the actions of the SPC Tuberculosis Control Program. The identification of areas with different TB mortality rates in the city of São Paulo allows the TBCT to prioritize these different regions. Given the well-known association between TB/HIV co-infection, the impact of Aids epidemic indirectly affects TB mortality trends

ASSUNTO(S)

megacidades megacities mortalidade mortality tuberculose tuberculosis

ACESSO AO ARTIGO

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